재가 노인의 돌봄 유형에 따른 우울 영향요인

Factors Influencing Depressive Symptom Based on the Type of Care for Older Adults Living at Home

Purpose : This study examines how different types of care－formal and informal－affect depressive symptoms in older adults at home. Methods : Using data from the 2020 National Survey on Older Adults in South Korea, which included responses from 498 elderly individuals receiving care, we conducted logistic regression analyses to identify factors influencing depressive symptoms based on the type of care received. Results : The analysis showed significant differences in depressive symptoms between those receiving formal and informal care. In the formal care group, a better subjective perception of health was associated with a lower likelihood of depressive symptoms (OR＝0.47, p＜.001), while an increase in chronic conditions (OR＝1.15, p＝.007) and higher dependency in instrumental daily activities (OR＝1.08, p＜.001) increased the risk of depressive symptoms. Conversely, improved cognitive function was linked to reduced depression risks (OR＝0.96, p＜.001). In the informal care group, similar trends were observed. Notably, family cohabitation significantly influenced depressive symptoms outcomes, highlighting the importance of family support in care dynamics. Access to necessary facilities and adequate care provision also emerged as critical factors in mitigating depressive symptoms risks across both care types. Conclusion : The study underscores the importance of tailored interventions that enhance care accessibility and adequacy, particularly in informal settings, to improve mental health outcomes among the elderly.